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NICU/PICU Services Code Conversion Notice of Implementation

June 3, 2019

The Neonatal and Pediatric Intensive Care Unit (NICU/PICU) services code conversion, initially announced in the February 2019 Medi-Cal Update, implemented on June 1, 2019.

Effective for dates of service on or after June 1, 2019, the NICU/PICU services code conversion replaced non-HIPAA-compliant Level III codes, commonly referred to as local codes, with HIPAA-compliant CPT national codes.

The following resources for the NICU/PICU services code conversion are located on the NICU/PICU Services dropdown of the HIPAA: Code Conversions page:

For additional information, providers are encouraged to:

  • Watch for NICU/PICU service updates in the NewsFlash area of the Medi-Cal website and in the monthly Medi-Cal Update.
  • Complete the Medi-Cal Subscription Service (MCSS) Subscriber Form to receive timely notifications related to NICU/PICU services.
  • Request additional onsite or telephone support via Telephone Service Center (TSC) at 1-800-541-5555, from 8 a.m. to 5 p.m., Monday through Friday, except holidays. Border providers and out-of-state billers billing for in-state providers call (916) 636-1200. Providers calling from outside of California call the Out-of-State Provider Unit at (916) 636-1960 from 8 a.m. to 5 p.m., Monday through Friday, except holidays.
  • Submit additional questions via email to CAMMISCodeConversion@conduent.com.